There is just one qualifying event in your life a doctor looks for in diagnosing bipolar I disorder: whether you’ve had, or are having, a manic episode. You don’t even have to have a depressive episode to be diagnosed with bipolar 1 disorder (although the vast majority of people who experience mania also have episodes of major depression).
This explanation probably seems far too simple, given the severity and complexity of bipolar disorder. But as far as a diagnosis goes, a single manic episode that isn’t caused by a substance (could be an illegal drug or a medication, for example) is officially all it takes to diagnose bipolar I disorder.
During manic episodes of bipolar 1 disorder, you may become delusional and/or suffer from hallucinations, which are symptoms of psychosis. If this occurs, the condition is called bipolar I with psychotic features. Bipolar I can seriously impair your day-to-day functioning.
Some Symptoms and Characteristics of Mania Include:
- Decreased need for sleep
- Pressured speech
- Racing thoughts
- Tendency to engage in behavior that could have serious consequences, such as spending recklessly or inappropriate sexual encounters
- Excessive energy